Individual provider Active NPI

John Zou, OD

  • Optometrist
  • Fresh Meadows, NY
National Provider Identifier
1205401296
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009322 Issued in NY
Practice address
7120 162ND St FL 1
Fresh Meadows, NY 11365-2570
Phone
(917) 655-9665
NPI assigned
May 23, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009322 NY Primary
Optometrist 152W00000X TUV009422 NY

Addresses

Primary practice location

7120 162ND St FL 1
Fresh Meadows, NY 11365-2570

Mailing address

7120 162ND St FL 1
Fresh Meadows, NY 11365-2570
Phone (917) 655-9665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913002467 NY Practitioner - Optometry 6305242512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

260 E Middle Country Rd
Suite 201
Smithtown, NY 11787-2925
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009422NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Nov 14, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Nov 14, 2023 Accepting new patients
Clearview Eye Surgery, PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

1200 Waters Pl
Ste 304
Bronx, NY 10461
Phone (718) 518-0060

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

1825 Riverside Dr
Apt 1B
New York, NY 10034
Phone (212) 304-2010

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1205401296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 162ND ST FL 1",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652570",
            "telephone_number": "917-655-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 162ND ST FL 1",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652570",
            "telephone_number": "917-655-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOU",
        "first_name": "JOHN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009322",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.